Digital Commons Network^™

Three Essays On Education And Health Economics, Kalvin Mudrow

Graduate Theses, Dissertations, and Problem Reports (ETD)

The first chapter explores the impact of online education on student outcomes by comparing students pre-2020 school closures to students post-2020 school closures. Using student-level panel data from a large U.S. school district spanning 2017-2023 and two outcome variables, reading tests and end-of-level exams, I estimate the effects on different demographic groups, the dynamics of these effects over time, and how these effects differ across students ages. I find a significant decline in student performance after the move to online learning, with additional adverse effects on students who are classified as low-income, female, special education, or ELL. Mechanisms contributing to …

A Multiscale Ai Framework For Forest And Agriculture Health Monitoring: Drone-Based Object Recognition And Segmentation For Automated Ecological Assessment, Sruthi Keerthi Valicharla

Graduate Theses, Dissertations, and Problem Reports (ETD)

Forest and agricultural ecosystems are increasingly at risk due to invasive species, pests, and diseases, necessitating scalable, automated, and intelligent monitoring solutions. Traditional field based forest and agriculture health assessments are limited by cost, time, and spatial coverage. This dissertation presents a multiscale deep learning framework that automates forest and agriculture health monitoring using drone imagery and computer vision techniques. The system operates across three spatial levels: forest level, tree level, and leaf level, combining object detection, segmentation, and classification models to support large scale ecological assessment.

At the forest level, high-altitude drone imagery is processed using object detection and …

Impact Of Whey And Soy Protein Supplementation On Resistance Training In Young Adults: A Systematic Literature Review And Meta-Analysis, Brandon Eric Davis

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: Whey protein is a popular supplement in sports nutrition. Soy protein is an alternative to whey protein, often marketed to individuals following a plant-based diet. Evaluating whey and soy protein supplementation's role in resistance exercise is essential for providing evidence-based nutrition guidance.

Objective: The study aim was to conduct a systematic literature review and meta-analysis on randomized control trials (RCTs) on the effectiveness of whey and soy protein supplementation on outcomes of lean body mass (LBM), squat, bench press, and plasma essential plasma amino acid (EAA) levels in young adult men and women.

Methods: The databases …

Do Demographics And Social Determinants Of Health Relate To Current And Anticipated Caregiving Roles?, Sarah Alison Bolling

Graduate Theses, Dissertations, and Problem Reports (ETD)

In 2021-22, approximately 37.1 million Americans provided care to family or friends who had an illness or disability (U.S. Bureau of Labor, 2024). These informal caregivers experience poorer mental health (Dahlrup et al., 2015) and physical health (Pinquart & Sorensen, 2003) influencing their overall well-being. Experiences in caregiving may differ across age, gender, race (Young et al., 2019). Given the effects of Social Determinants of Health (SDOH), such as financial stability, health care, and food resources (Duran & Perez-Stable, 2019), some adults may experience additional threats to health and quality of life before entering into the caregiver role. Little is …

Manualized Interventions For Individuals Experiencing Or At-Risk For Adverse Life Experiences, Sierra P. Mcnicol

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: Occupational practitioners have a role in providing holistic and client-centered care to promote occupational performance, engagement, and satisfaction through occupations. Many individuals are impacted in the engagement of occupations secondary to adverse life experiences that have caused mental distress, difficulties in cognitive processing, limited social support, and disruptions in social determinants that have made accessing services complicated. Purpose: Due to the increased likelihood of individuals who have experienced adverse life experiences experiencing occupational distress and performance limitations, the capstone student aimed to develop an understanding of adverse life experiences, provide insight into the needs of the population, and develop …

Effectiveness Of A Cumulative Pediatric-Based Practical Examination At Increasing Student Perceived Competence And Confidence In Working With Pediatric Populations, Nicholas J. Passarelli

Graduate Theses, Dissertations, and Problem Reports (ETD)

Current literature highlights the importance of utilizing practical examinations and actual patients and covering vast pediatric content within occupational therapy curricula. The needs assessment conducted within The West Virginia University Division of Occupational Therapy revealed that the division currently employs all three of these factors within their curriculum, however a gap presented in the combination of these three factors together. This project aimed to diminish this gap through the development, implementation, and execution of a pediatric practical examination, utilizing actual pediatric patients, to determine whether the examination is effective in increasing student perceived competence and confidence in working with pediatric …

Exploring Teacher Perception And Implementation Of Sae Programming In West Virginia, Joseph Laflamme

Graduate Theses, Dissertations, and Problem Reports (ETD)

The purpose of this study was to describe the phenomenon of SAE implementation in West Virginia. This study utilized qualitative research methodology to describe teacher perceptions of how student, guardian, school and community factors affect SAE program implementation. Additionally, teacher backgrounds, including formative experiences, training and education, guiding philosophies, skills, and motivation were explored. This study describes contextual aspects of population, economics, state guidelines and local agriculture industries. This is done through a document review of student reported records as well as surveys and teacher interviews.

A Comparative Study On The Accuracy And Reliability Of Artificial Intelligent Lateral Cephalogram Tracing Programs, Stuart Mills

Graduate Theses, Dissertations, and Problem Reports (ETD)

Objective: To compare the accuracy and reliability of two commercially available Artificial Intelligent (AI) cephalogram tracing software programs to doctor traced cephalograms.

Materials and Methods: A sample of 100 pretreatment cephalograms were analyzed with AI based software programs, Angel Aligner iCeph and WebCeph, then compared to images traced by an orthodontist using Dolphin Imaging. Of the 100 samples, 50 were skeletally Class I and 50 were skeletally Class II. For each cephalogram produced, the American Board of Orthodontics 11 measurements were acquired from each of the three tracing programs. One way analysis of variance (ANOVA) followed by Tukey’s HSD test …

Microwave-Assisted Reduction Of Critical Metal Oxides From E-Waste Mixture, Kurundu Shavinka Jayasekera

Graduate Theses, Dissertations, and Problem Reports (ETD)

The efficient recovery of critical metals such as tantalum (Ta), manganese (Mn), gallium (Ga), and indium (In) from electronic waste (e-waste) is essential for resource sustainability and environmental protection. This research uses microwave-assisted treatment to investigate the carbothermal reduction of these four specific metals from their oxides in a simulated e-waste mixture, with carbon black serving as both a microwave coupling and reduction agent. Microwave processing is used specifically because it offers a rapid and energy-efficient alternative to conventional thermal methods, with the benefits of intrinsic heating and selective heating of materials. The first experiments centered on understanding the effects …

No Sweeter Sound: Musicking, Transformative Pedagogy, And Collaborative Social Justice In Choral Settings, Natalie N. Shaffer

Graduate Theses, Dissertations, and Problem Reports (ETD)

Choral music and its conductors occupy a tenuous space in the 21st century. In a new cultural atmosphere influenced by Gen Z’s expectation of welcomed diversity and intolerance for injustice, TikTok’s rapid global dissemination of information and entertainment, and society’s desire for authentic connection following the Covid-19 pandemic, the dichotomies present in choral music are no longer being glossed over. Difficult conversations about race, gender, ableism, social location, and other intersectional identifiers are at the forefront of academic writing and conference presentations. Evidence of transformative pedagogy and culturally responsive practices are beginning to appear in classroom syllabi and rehearsal techniques …

Back To The Future Self: Parsing Age Effects In Future Self-Continuity Through Goal Orientation And Life Satisfaction, Laken A. Mooney

Graduate Theses, Dissertations, and Problem Reports (ETD)

Future self-continuity, the psychological feeling of connectedness between the current and the future self, is a relatively novel concept that is associated with and has been used to predict a variety of outcomes. Though work investigating individual differences is comparatively rare, a robust demographic difference found in previous literature is the presence of an age effect, where older adults are more likely to feel a greater connection to their future self than younger adults. This finding has been replicated a number of times, but potential mechanisms behind this observed age-related increase have yet to be fully uncovered. Limited previous work …

Xanthine Oxidoreductase, Uric Acid, And Iron Homeostasis: Discovering A Therapeutic Vulnerability In Breast Cancer, Matthew G. Chapa

Graduate Theses, Dissertations, and Problem Reports (ETD)

Breast cancer remains the most frequently diagnosed malignancy and the leading cause of cancer related deaths in women. This is primarily due to distant metastases, which highlight the necessity to understand factors that contribute to breast cancer progression. Emerging evidence associates decreased tumor xanthine oxidoreductase (XOR) expression with a poorer prognosis, increased recurrence, and a more aggressive phenotype. While healthy liver, intestines, kidneys, and breast tissue have robust XOR expression and activity, there is a tendency for this to be ablated in carcinogenesis. This dissertation investigates XOR's role in breast cancer and identifies its product, uric acid (UA), as possessing …

Three Chapters In International Macroeconomics: Navigating Risk, Development, And Policy With Emphasis On Low-Income Economies, Samantha Alexandre Borkhoche

Graduate Theses, Dissertations, and Problem Reports (ETD)

This dissertation explores how structural vulnerabilities and external shocks interact with economic policy tools in shaping development outcome. Each chapter addresses a distinct dimension of risk—environmental, macroeconomic, and political—and evaluates mechanisms through which these challenges can be mitigated or amplified. The focus on low-income economies ensures their unique vulnerabilities are integrated into the research question, addressing critical gaps in economic literature.

Chapter 1 addresses how the Sub-Saharan African regions can balance sustainability and development. It uses a time-series methodology to estimate the impact of trade in “green goods” on environmental outcomes. It finds that increases in the trade of environmentally-friendly …

Adolescent Attachment And Anxiety: Examining Implicit Emotion Beliefs And Emotion Regulation As Mediators, Jeanette Pool

Graduate Theses, Dissertations, and Problem Reports (ETD)

Anxiety is a growing issue in adolescents, with teens reporting worse and more severe symptoms in recent years (Kajastus et al., 2023; Solmi et al., 2022). There are several risk factors for developing anxiety symptoms, including cognitive, behavioral, and social factors. Effective emotion regulation (ER) has been shown to be helpful in decreasing anxiety symptom levels (Arbulu et al., 2023; Cho et al., 2019). A better understanding of precursors of ER could aid in prevention of anxiety. ER may stem from our personal beliefs about emotions (Ford et al., 2018; Schroder et al., 2015; Tamir et al., 2007) and to …

A Quality Improvement Project To Assess The Impact Of A Patient Acuity Tool On Nurse Satisfaction In Equitable Patient Assignments In Nurse Workload And Perceived Quality Care Provided, Claire Alexandra Rodgers

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: Traditional nursing staffing models used to create patient-care assignments do not account for patient acuity. As patient acuity increases, nurse workload increases. When patient-care assignments do not account for acuity, nurses are unable to provide quality care to patients. Utilizing a patient acuity tool (PAT) has been shown to improve nurse satisfaction and equity in assignments while also enhancing the ability for nurses to provide quality care.

Purpose: The project aims to assess the impact of a PAT to improve nurse satisfaction in equitable patient assignments based on nurse workload and perception of quality of care provided to patients …

Identifying Factors Associated With Time To Diagnosis For Symptomatic Intestinal Malrotation In Pediatric Patients, Katie E. Corcoran

Graduate Theses, Dissertations, and Problem Reports (ETD)

Intestinal malrotation is a rare condition in which the intestines rotate improperly during embryonic development. Intestinal malrotation is typically diagnosed in pediatric patients with an upper gastrointestinal imaging (UGI) series. Longer time to diagnosis of intestinal malrotation increases the risk of mortality and severe morbidity. While the need for timely diagnosis is well-established in the literature, the correlates of time to diagnosis are largely unknown. The classic medical presentation for intestinal malrotation is an infant presenting with green bilious emesis. I hypothesize that time to diagnosis of intestinal malrotation will be longer in symptomatic pediatric patients when they present differently …

Implementation Of An Evidenced Based Enteral Nutrition Protocol For Mechanically Ventilated Patients: A Quality Improvement Initiative, Hannah R. Nuzum

Graduate Theses, Dissertations, and Problem Reports (ETD)

Abstract

Implementation of an Evidenced Based Enteral Nutrition Protocol for Mechanically Ventilated Patients: A Quality Improvement Initiative.

Hannah Nuzum

Background: Mechanically ventilated patients require supplemental nutrition as an important factor for their overall recovery. Malnutrition in hospitalized patients is reported as high as 35% (Ikram et al., 2022).

Purpose: Lack of an enteral nutrition (EN) protocol has contributed to variability in initiation of EN for post-intubated mechanically ventilated patients.

Intervention: The project interventions are threefold: the development of an EN protocol, EN initiated within 24 to 28 hours for post-intubation patients, and staff understands that EN should be initiated within …

Effects Of Physical Activity And Purpose In Life In Cognitive Aging, Farima Sadeghi

Graduate Theses, Dissertations, and Problem Reports (ETD)

Cognitive decline has become a growing public health concern with the increase in aging populations throughout the world. As Physical Activity has shown to be one of the key factors in maintaining and enhancing cognitive health in older adults, this study explores the psychological mechanisms that might underlie this relationship. Using data from the Midlife in the United States (MIDUS) study, the analyses examine whether Purpose in Life mediates the relationship between Physical Activity and both cognitive abilities—Episodic Memory and Executive Functioning, whether age strengthens this effect, and whether Physical Activity itself could act as a mediator. The results showed …

Beyond The Byproduct: Exploring Approaches For The Sustainable Valorization Of Underutilized Food Streams, Ian Phillip Israelsen

Graduate Theses, Dissertations, and Problem Reports (ETD)

Commercial food processing creates side-streams that are often underutilized yet hold significant potential for valorization into value-added products for consumer use. This study investigated and compared potential protein recovery and lipid removal potential from buckwheat (BW; Fagopyrum esculentum Moench), brewer’s spent grain (BSG), and coffee silverskin (CSS) using a one-step solvent defatting and a pH-shift protein extraction method. The extraction efficiency yields of extracted protein from CSS were significantly lower than all other samples (p < 0.05). The defatted BW had the highest extracted protein content of all samples (p < 0.05). The sizes of the proteins in the starting materials were observed using LDS-PAGE. These sizes were consistent with published values and were mostly unchanged by defatting or the pH-shift process. The presence of 13S globulins and 2S albumins was confirmed under reducing conditions. Protein extracted from all native samples had lower total free essential amino acids than the starting materials. Native CSS and extracted protein followed this trend, but in defatted CSS and respective extracted protein samples, the extracted proteins had higher free essential amino acid content than the starting materials, sometimes of twofold or greater (p < 0.05). After defatting, the percentage of lipids recovered compared to the original lipid content of the samples was measured. The crude fat content of native and hexane-defatted BW flour was higher than BW flour defatted with ethanol (p < 0.05). The lipid extraction efficiency of all samples ranged from 4.6 ± 1.26%–43.20 ± 14.21%. The mass of the native and defatted starting materials were recorded at each step of processing, with reasonable losses assessed. The major non-polar lipid classes in each starting material were separated using thin-layer chromatography. All samples also displayed the presence of polar lipids. When comparing starting materials, BW and BSG was the most effective for protein extraction, and BSG has the most promise for lipid removal and potential for upcycling. All the examined starting materials show promise for use in food supplementation, especially as native flours. These products are plentiful and considered underutilized or side-stream products.

Do Dung Beetles Sink Or Swim: Exploring Dung Beetle Response To Precipitation, Lauren T. Cheshire

Graduate Theses, Dissertations, and Problem Reports (ETD)

Global climate change constitutes a major threat to biodiversity and ecosystem services of many taxa. The Mid-Atlantic region of the US is expecting to see an increase in extreme precipitation events and flooding. Dung beetles (Scarabaeinae) can tunnel below the soil surface allowing for water to dissipate into the soil rather than sit on the surface and add to flooding conditions. They also can decrease methane emission by burying dung and reduce outbreaks of pests that prefer the moist environment of dung. They contribute roughly $380 million in ecosystem services annually in the United States, yet their services may be …

Role Of Interpretation Bias Related To Pain In A Dental Setting, Jeongwi An

Graduate Theses, Dissertations, and Problem Reports (ETD)

Studies of interpretation bias related to pain have consistently shown that patients with pain are more likely to interpret ambiguous stimuli as related to pain than healthy control participants. This phenomenon is associated with pain and related outcomes, including depression, anxiety, and avoidance behaviors, suggesting a potential target in pain management. This study aimed to examine whether the association between interpretation bias, pain, and emotional status can be replicated in a dental care population. The relation of interpretation bias to pain experience was tested in a naturalistic anxiety and pain-provoking setting (i.e., root canal treatment, RCT). A total of 82 …

Resilience In Adolescents With Type 1 Diabetes: The Relation Between Grit, Benefit-Finding, Diabetes Distress, Hba1c And Health-Related Quality Of Life, Hannah Hardiman

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: Type 1 diabetes (T1D) is a common pediatric chronic illness that requires complicated management by both the child and their caregiver. Research and clinical guidelines have highlighted adherence (as measured by HbA1c) and health-related quality of life (HRQOL) as important outcomes particularly in adolescents with T1D. Notably, diabetes distress has been identified as a risk factor contributing to poor adherence and HRQOL outcomes in this population. Given these considerations, understanding what resilience factors contribute to optimal outcomes is vitally important to inform future interventions. Grit and benefit-finding are two novel resilience factors that have yet to be fully evaluated …

Keep It Quiet: A Quality Improvement Initiative To Reduce Noise In The Operating Room During Anesthesia Induction, Ghislaine Fasseu Kameni

Graduate Theses, Dissertations, and Problem Reports (ETD)

Problem: Excessive noise during the critical phase of anesthesia induction in operating rooms (OR) can significantly impact anesthesia providers' ability to focus, potentially compromising patient safety and quality of care.

Objectives: This project aimed to reduce anesthesia providers' perception of distraction caused by noise during induction by implementing educational interventions and visual cues. The objectives included educating anesthesia and surgical staff on the impact of noise, introducing visual reminders to minimize distractions, and evaluating the effectiveness of these strategies through survey data collection.

Methods: A quality improvement initiative was conducted in the OR department of a nearby hospital. Certified registered …

Increasing Preparedness For Malignant Hyperthermia Crises: An Evidence Based Quality Improvement Project, Elise Jozwiak

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction/Background: MH is a low frequency, but high risk potentially fatal genetic mutation if left untreated. A rural Pennsylvania Hospital was found to have an incidence rate of 12/4,033 MH related occurrences within the last 6 months. Delayed treatment of MH can result in increased mortality rates and poor patient outcomes.

Purpose: Given the rarity and high mortality rate without prompt treatment, implementation of a standardized cognitive aid to be kept on the Malignant Hyperthermia (MH) cart, coupled with operating room staff education on early recognition and treatment of malignant hyperthermia can assist in proper perioperative MH management steps for …

Does Education On Aseptic Non-Touch Technique Affect Nurse Knowledge On Aseptic Technique When Placing Ultrasound Guided Peripheral Intravenous Lines? A Quality Improvement Initiative, Hannah G. Keyser

Graduate Theses, Dissertations, and Problem Reports (ETD)

This Doctor of Nursing Practice (DNP) project attempted to increase nurse’s knowledge of aseptic technique when placing USG-PIVs in hospitalized adult patients after educational training on the Aseptic Non-Touch Technique Clinical Practice Framework (ANTT CPF). Implementation of the ANTT CPF in the cardiovascular intensive care unit (CVICU) at Ruby Memorial Hospital, as a didactic educational session for nurses already trained to place ultrasound-guided peripheral intravenous lines, was utilized for this DNP project. Pre- and post-surveys were employed to determine changes in knowledge scores as well as feelings of comfort and knowledge related to the CPF. Results remained stable for survey …

Nephrocheck Implementation And Its Impact On The Incidence Of Acute Kidney Injury After Coronary Artery Bypass Graft Surgery, Michael Maccourtney

Graduate Theses, Dissertations, and Problem Reports (ETD)

Abstract

NephroCheck Implementation and its Impact on the Incidence of Acute Kidney Injury After Coronary Artery Bypass Graft Surgery

Michael C. MacCourtney

Problem Statement: Acute kidney injury occurs in up to 50% of patients after cardiac surgery (Meersche et al., 2017). This contributes to significant morbidity, mortality, and costs (Helgadottir et al., 2016). At the time of the project implementation, the standard of care involved measuring renal function utilizing serum creatinine (SCr) and urine output (UOP) without NephroCheck. These renal function labs do not represent a timely and accurate assessment of the patient’s current renal status because they do not …

Effects Of High-Frequency Repetitive Transcranial Magnetic Stimulation On Impulse Control Disorders In Patients With Parkinson’S Disease On Dopamine Replacement Therapy, Katherine Muksuris

Graduate Theses, Dissertations, and Problem Reports (ETD)

Parkinson’s Disease (PD) is a debilitating neurodegenerative disorder that causes motor deficits, cognitive impairment, and depression. The mainstay treatment for motor symptoms is dopamine replacement therapy (DRT). DRT takes the form of levodopa or dopamine receptor agonists (DAs) and can be associated with impulse control disorders (ICDs). Currently, the approach to mitigating these side effects is to decrease or stop DRT, which may cause motor symptoms to return, making the management of the disorder more difficult. Repetitive transcranial magnetic stimulation (rTMS) is a noninvasive neuromodulation treatment for multiple disorders, including its approved use for smoking cessation. It has also shown …

Reassessing Hourly Neurological Assessments: A Quality Improvement Initiative, Haley Lynne Johnson

Graduate Theses, Dissertations, and Problem Reports (ETD)

ABSTRACT

Reassessing Hourly Neurological Assessments: A Quality Improvement Initiative

Haley Lynne Johnson, BSN, RN

Background: Stroke and brain injuries remain among the leading causes of mortality in the United States, accounting for 162,890 deaths in 2021 (Centers for Disease Control and Prevention [CDC], 2021). Although frequent neurological assessments are essential for monitoring patient status, limited evidence supports the prolonged use of hourly neuro-checks (LaBuzetta et al., 2022). Excessive neuro-check frequency has been linked to sleep deprivation, an increased risk of delirium, and inefficient resource utilization (Kishore et al., 2021).

Purpose: This project aimed to assess the impact of …

Influence Of Different Rates Of Biochar And Deer Browsing On Pollinator Plant Productivity, Bipana Bhusal

Graduate Theses, Dissertations, and Problem Reports (ETD)

Biochar, a carbon-rich material produced from biomass, has received wide attention for soil amendment to improve plant growth. However, its specific effects on pollinator friendly plants remain poorly understood. In this study, we evaluated the effects of four biochar application rates (0, 10, 20, 40 tons/acre) and deer exclusion (fenced vs. unfenced) on the productivity of three pollinator species; Buckwheat (Fagopyrum esculentum), Plains Coreopsis (Coreopsis tinctoria), and Black-eyed Susan (Rudbeckia hirta) in a utility right of way with a history of mining. A split-plot randomized design was used, and the results were analyzed using …

No Man’S A Stone: A Qualitative Approach To Characterizing Masculinity In Older Adulthood, Montgomery T. Owsiany

Graduate Theses, Dissertations, and Problem Reports (ETD)

Suicide rates are exceedingly high in U.S. older men (aged 65 years and older). In 2020, older men were about 6.5 times more likely to die by suicide than older women and 1.14 times more likely than men aged 18 to 64 years. Masculine norms (e.g., emotional suppression, self-reliance, anger, physical toughness risk-taking behaviors, alcohol misuse) are believed to influence the presentation of mental disorders, such as depression, which has led to the conceptualization of masculine depression. Research on masculinity often focuses on the experiences of younger men, ignoring how gender identities may change as one progresses through adulthood. Meanwhile, …